바터팽대부에 발생한 유암종 1예 |
이욱진ㆍ김명환ㆍ오형철ㆍ김경은*ㆍ이상수ㆍ서동완ㆍ이성구 |
서울아산병원 내과학교실, *병리학교실 |
A Case of a Carcinoid Tumor of the Ampulla of Vater |
Wook Jin Lee, M.D., Myung-Hwan Kim, M.D., Hyoung-Chul Oh, M.D., Kyung Eun Kim, M.D.*, Sang Soo Lee, M.D., Dong-Wan Seo, M.D. and Sung Koo Lee, M.D. |
Departments of Internal Medicine and *Pathology, Asan Medical Center, Seoul, Korea |
|
|
Abstract |
|
Carcinoid tumors involving the Ampulla of Vater are very rare lesions which may result in painless jaundice. The preoperative diagnosis of a carcinoid tumor is difficult because the carcinoid tumor of the Ampulla of Vater is frequently located in the submucosa and rarely presents an ulcerative lesion on the surface mucosa. In contrast to patients with intestinal carcinoid tumors, patients with carcinoid tumor of the Ampulla of Vater are frequently free of clinical and laboratory findings that hint to the carcinoid syndrome. The natural history of this disease entity has not been well established; however, the prognosis is generally believed to be good. In this study, we report a case of a carcinoid tumor of the Ampulla of Vater with an ulcerative lesion, which was diagnosed preoperatively and treated by surgical excision. (Korean J Gastrointest Endosc 2008;36:187-191) |
Key Words:
Carcinoid tumor, Ampulla of Vater |
주요어:
유암종, 바터팽대부 |
|
|